Katherine Ann Omlid, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

302291 Issued in MN

Practice address

1321 13TH St N
Saint Cloud, MN 56303-2613

Phone

(320) 202-2006

Fax

(320) 203-1855

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Medical Services Montana Private LLC

  • Methadone Clinic
  • Minneapolis, MN
  • NPI 1033804653

  Addiction (Substance Use Disorder)

  NPD (past)
• Community Medical Services Montana-Private, LLC

  • Methadone Clinic
  • Roseville, MN
  • NPI 1053069005

  Addiction (Substance Use Disorder)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1548322886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 13TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032614",
            "telephone_number": "320-202-2006",
            "fax_number": "320-203-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 13TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032613",
            "telephone_number": "320-202-2006",
            "fax_number": "320-203-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMLID",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moustapha Omar
• Sahra Nur Omar
• Salma Adam Omar
• Salma Dek Omar
• Saredo Ali Omar
• Samantha Ommodt
• Ojem Peter Omot
• Peter Kaga Omot II
• Elizabeth Mongina Ong'Era, MD
• Guy Onuoha

• Addiction (Substance Use Disorder) Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.